Pyramid Healthcare
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $8.5M (2020) to $31.7M (2021) — a 272% swing with $23.2M absolute change.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Substance Abuse Rehabilitation Facility Peers
Total spending distribution among 20 providers in this specialty
This provider's total spending of $87.3M is at the 50th percentile among 20 Substance Abuse Rehabilitation Facility providers.
Total Paid
$87.3M
$87,333,155
Total Claims
322K
Beneficiaries
22K
14.5 claims/patient
Avg Cost/Claim
$271
🔍 Analysis
Provider Overview
Pyramid Healthcare is a Substance Abuse Rehabilitation Facility provider based in Belleville, PA. From the 2018–2024 period, this provider received $87.3M in Medicaid payments across 322K claims.
Why This Matters
At $87.3M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
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